So although treated first with insulin to bring levels down quickly because of how high they were and the ketones, over time the insulin will make the diabetes worse quicker than the tablets and diet over time? Why haven’t the nurses or doctors told me this? I suppose this is another question for Wednesday visit!!
I imagine you were treated first with insulin because your levels were very high at the time and they needed to act quickly. This is normal procedure and fine.
However, for someone with T2 that has insulin resistance (most of us have/did when diagnosed) insulin as an ongoing treatment is not always the best choice. Most T2s in this category already have too much circulating insulin. So much so that their bodies have become resistant to it so it can't do its job properly. A vicious circle then starts - the more circulating insulin we have the more insulin resistant we become, and the more resistant we become, the more insulin we secrete. (or inject). The more insulin resistant we are, the harder it becomes to keep T2 under control, and the more insulin we have circulating, the tendency is to gain weight.
It would make sense for doctors to do an insulin test on T2s before prescribing ongoing insulin or tablets such as Gliclazide that force the pancreas to produce more insulin. If the person is shown to have plenty of natural insulin, then why does that person need injected insulin or drugs such as Gliclazide? It just increases the large amount of insulin already being secreted and causes more resistance.
Of course, there are T2s that do not produce enough of their own insulin, and this situation is completely different.
Do you know if you had any tests to determine how much insulin you produce naturally? That is a question you could ask.